Active NPI
Melissa Brynn Frank, MSW, LSW
- Social Worker
- Mount Vernon, IL
National Provider Identifier
1700145430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150.013638
- Practice address
- 4112 N Water Tower PL
Mount Vernon, IL 62864-6295 - Phone
- (618) 242-6944
- Fax
- (618) 242-6726
- NPI assigned
- May 15, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 150.013638 | IL | Primary |
Addresses
Primary practice location
4112 N Water Tower PL
Mount Vernon, IL 62864-6295
Mailing address
4112 N Water Tower PL
Mount Vernon, IL 62864-6295
Phone (618) 242-6944
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 150.013638 | Other | IL | DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150.013638 | IL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337040000000",
"number": "1700145430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4112 N WATER TOWER PL",
"city": "MOUNT VERNON",
"state": "IL",
"postal_code": "628646295",
"telephone_number": "618-242-6944",
"fax_number": "618-242-6726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4112 N WATER TOWER PL",
"city": "MOUNT VERNON",
"state": "IL",
"postal_code": "628646295",
"telephone_number": "618-242-6944",
"fax_number": "618-242-6726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRANK",
"first_name": "MELISSA",
"middle_name": "BRYNN",
"name_prefix": "Miss",
"credential": "MSW, LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-15",
"last_updated": "2012-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150.013638",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION",
"identifier": "150.013638",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mount Vernon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.